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Segment Information (Tables)
12 Months Ended
Dec. 31, 2025
Segment Reporting [Abstract]  
Schedule of selected financial data
The following table is representative of the significant categories, including significant expenses, regularly provided to the CODM when managing the Company’s single reporting segment.
For the Year Ended December 31,
202520242023
(in thousands)
Revenue
$2,163,417 $1,900,192 $1,838,081 
Expenses:(1)
Personnel expenses
1,228,967 1,086,886 1,048,463 
Facility expenses
204,316 180,996 173,375 
Other expenses
298,271 255,454 254,909 
Total segment expenses1,731,554 1,523,336 1,476,747 
Segment Adjusted EBITDA
$431,863 $376,856 $361,334 
Total assets
$2,858,388 $2,521,164 $2,333,560 
Purchases of property and equipment
$82,335 $64,327 $64,958 
Depreciation and amortization$75,817 $67,178 $73,051 
____________________________________________
(1)        Includes transition services agreement fees of $12.1 million for the year ended December 31, 2025, shared service fees from Select and transition services agreement fees of $15.2 million for the year ended December 31, 2024, and shared service fees from Select of $14.6 million for the year ended December 31, 2023. See Note 16—“Relationship with Select”, for additional information.
Schedule of reconciliation of Adjusted EBITDA to income before income taxes
The following table reconciles Segment Adjusted EBITDA to income before income taxes for the periods indicated.
 For the Year Ended December 31,
 202520242023
(unaudited)
(in thousands)
Segment Adjusted EBITDA
$431,863 $376,856 $361,334 
Interest expense(109,290)(47,714)(221)
Interest expense on related party debt
— (21,980)(44,253)
Loss on early retirement of debt
(875)— — 
Equity in losses of unconsolidated subsidiaries— (3,676)(526)
Other expense
— — (2)
Stock compensation expense
(10,490)(2,327)(651)
Depreciation and amortization
(75,817)(67,178)(73,051)
Separation transaction costs(1)
(4,093)(1,693)— 
Nova and Pivot Onsite Innovations acquisition costs
(7,471)(895)— 
Income before income taxes
$223,827 $231,393 $242,630 
____________________________________________
(1)    Separation transaction costs represent non-recurring incremental consulting, legal, audit-related fees, system implementation, and software disposal costs incurred in connection with the Company’s separation into a new, publicly traded company and are included within general and administrative expenses on the consolidated statements of operations.